Diagnostic Tests for Headache


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Diagnostic Test list for Headache: The list of diagnostic tests mentioned in various sources as used in the diagnosis of Headache includes:

Tests and diagnosis discussion for Headache: Physicians will obtain a full medical history and may order a blood test to screen for thyroid disease, anemia, or infections or x-rays to rule out a brain tumor or blood clots. CTs, MRIs, and EEGs may be recommended. An eye exam is usually performed to check for weakness in the eye muscle or unequal pupil size. 1

Diagnosing a headache is like playing Twenty Questions. Experts agree that a detailed question-and-answer session with a patient can often produce enough information for a diagnosis. Many types of headaches have clear-cut symptoms which fall into an easily recognizable pattern.

Patients may be asked: How often do you have headaches? Where is the pain? How long do the headaches last? When did you first develop headaches? The patient's sleep habits and family and work situations may also be probed.

Most physicians will also obtain a full medical history from the patient, inquiring about past head trauma or surgery, eye strain, sinus problems, dental problems, difficulties with opening and closing of the jaw, and the use of medications. This may be enough to suggest strongly that the patient has migraine or cluster headaches. A complete and careful physical and neurological examination will exclude many possibilities and the suspicion of aneurysm, meningitis, or certain brain tumors. A blood test may be ordered to screen for thyroid disease, anemia, or infections which might cause a headache.

A test called an electroencephalogram (EEG) may be given to measure brain activity. EEG's can indicate a malfunction in the brain, but they cannot usually pinpoint a problem that might be causing a headache. A physician may suggest that a patient with unusual headaches undergo a computed tomographic (CT) scan and/or a magnetic resonance imaging (MRI) scan. The scans enable the physician to distinguish, for example, between a bleeding blood vessel in the brain and a brain tumor, and are important diagnostic tools in cases of headache associated with brain lesions or other serious disease. CT scans produce X-ray images of the brain that show structures or variations in the density of different types of tissue. MRI scans use magnetic fields and radio waves to produce an image that provides information about the structure and biochemistry of the brain.

If an aneurysm-an abnormal ballooning of a blood vessel-is suspected, a physician may order a CT scan to examine for blood and then an angiogram. In this test, a special fluid which can be seen on an X-ray is injected into the patient and carried in the bloodstream to the brain to reveal any abnormalities in the blood vessels there.2

Diagnosis of Headache: medical news summaries: The following medical news items are relevant to diagnosis of Headache:



Footnotes:
1. excerpt from NINDS Headache Information Page: NINDS
2. excerpt from Headache - Hope Through Research: NINDS

Last revision: Nov 3, 2003

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